Eastside Endocrinology And Diabetes, Ps
LBN: Eastside Endocrinology And Diabetes, Ps
Eastside Endocrinology And Diabetes, Ps is an health care organization with primary practice located at 2020 116Th Ave Ne Suite 150, Bellevue WA 98004-3059. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty.
Eastside Endocrinology And Diabetes, Ps can be contacted via phone (425) 453-9762, or through Wallum, Bradley Joy via phone (425) 453-9762.
Contact Information
Primary practice address
2020 116Th Ave Ne Suite 150
Bellevue WA 98004-3059
Phone: (425) 453-9762
Fax: (425) 455-5953
Website:
Authorized official contact:
Name: Wallum, Bradley Joy Doctor of Medicine (MD)
Phone: (425) 453-9762
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD00024156 | Washington |
Profile Details
| NPI number | 1861493272 |
|---|---|
| LBN Legal business name | Eastside Endocrinology And Diabetes, Ps |
| DBA Doing business as | |
| Authorized official | Wallum, Bradley Joy Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jan 15th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861493272 | NPPES |
| Washington | MEDICAID | 1022656 |
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